n CME : Your SA Journal of CPD - Paediatric cochlear implantation : main topic

Volume 21, Issue 11
  • ISSN : 0256-2170



Cochlear implants provide children with severe-to-profound hearing loss greater access to sound and consequently makes it easier for them to learn to talk. <BR>Referral guidelines have changed to include : <ul>bilateral severe-to-profound or moderate-to-profound hearing loss <ul>no minimum age for referral <ul>restricted or no useful benefit from hearing aids <ul>children with additional handicaps. <BR>Careful evaluation over time, including hearing aid trial, remains paramount. <BR>Congenitally deaf children who undergo implantation before 2 years of age show greater benefit than children who are implanted after 3 years of age. <BR>Criteria for paediatric CI candidacy include placement of the child in an educational environment that encourages the development of auditory and oral language skills. <BR>Children in oral educational programmes benefit more from a CI than children in total communication or sign language programmes. <BR>Benefits for congenitally deaf adolescents may in general be more limited. However, prospective patients should be considered on an individual basis. <BR>Involvement of parents in rehabilitation is essential. <BR>Dynamic technological advancements in implant design and speech coding strategies continue to improve outcomes with CIs. <BR>Life-long commitment of the implant team to the child and the family must be guaranteed.

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